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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    I appreciate your insight Nikki, you summarized everything almost perfectly, there are only two things that I would like to add to your comment. Initially my UMN findings were definitely abnormal, my reflexes were markedly brisk, there was Babinski, extended reflexogenic zones (the patellar...
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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    I got an ENG and MEP, the neurologist felt like based on the current clinical status the EMG isn't really warranted at this point. My clinical was mostly normal, I still have slightly brisk DTRs, a bit of ankle clonus and Hoffmann's, but the reflexogenic zones are of normal size and there was...
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    Hey, thanks for reaching out to me, I appreciate it. Glad to hear that you're doing better...

    Hey, thanks for reaching out to me, I appreciate it. Glad to hear that you're doing better, during the last visit my neuro was also pretty optimistic and noted improvements in my status (reflexogenic zones are normal size now, clonus is gone, no Babinski, deep tendon reflexes are less brisk) and...
    • Ben335
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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    Another update. I still have weird subjective symptoms, but objectively neither my PT therapist nor the neurologist thinks that there is any objectively noticeable weakness or atrophy or anything really concerning. I got the results for the MTHFR and SMA genetic testing back, I'm heterozygous...
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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    That makes sense, thank you Nikki. I'm going to go back to the neurologist in a week or two, I'll report back to you guys with the new results. Hopefully more of the genetic tests will have arrived by then. (The SOD1, FUS, TARDP43 are still pending as well as MTHFR and SMA)
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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    A quick update, I got my NFL test results back, it's 4.6 pg/ml, which is well within the normal range (given as 9.9 by Synlab). I assume this is using the SIMOA method, but it's not explicitly stated anywhere. The first round of genetic tests have also come in, so far it's been verified that I...
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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    I hope it's not going against the rules to write multiple comments in succession like this, but there is something that I forgot to ask and I feel like it might be important. The specialist told me that PT is insufficient and he advised me to focus on building muscle mass as soon as possible...
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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    I visited my regular neurologist today, got my blood drawn for SMA genetics testing and some other labwork, I discussed the results of the visit to the specialist with her, and she seems hopeful that it's B12 but as with the specialist, she said that ALS can neither be excluded or proven based...
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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    Thank you, that all sounds good, I'll be meeting with my regular neurologist tomorrow, I'll bring up the SMA testing with her. As for the B12, I got 5 injections over the course of last week, they'll do follow up testing now but I've been told that even if the issue is B12, it can take a long...
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    Abnormal EMG, clinical and MRI, possible ALS according to neurologist

    I just came home from the specialist and while he was very nice, ultimately he was unable to confirm or eliminate ALS. He did say that ALS is consistent with the overall presentation, but he didn't note any actual clinical weakness or saw any atrophy. He did say that my ability to stand on my...
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